Revenue Integrity Analyst II

Intermountain Health • Lake Park, IA

2d • $37 - $59 • Onsite

About The Position

This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II Service Areas: Emergency/Trauma, Transport, Behavioral Health, Transplant, Donor BMT, Sleep, EEG/EMG, Respiratory/PFT Schedule: Monday - Friday from 8 AM - 5 PM (with some flexibility)

Requirements

• Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group.
• Experience in a role requiring attention to detail with excellent organizational and analytical skills.
• Demonstrated proficiency with Epic clinical and/or billing applications.
• Demonstrates ability to be flexible and adaptable to change.
• Demonstrates ability to work in a clinical operational area and/or a revenue integrity team effectively supporting department outcomes.
• Experience working closely with a multi-disciplinary team to optimize patient experience and operational success.
• Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring.
• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
• Interact with others by effectively communicating, both orally and in writing.
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
• May require lifting and transporting objects and office supplies, bending, kneeling and reaching.

Nice To Haves

• Bachelor’s degree in healthcare administration, or medical, analytical field from an accredited institution.
• Proficient or certified with Epic clinical or billing applications.

Responsibilities

• Analyzes data, develops reports, reviews trends and recommends enhancements as defined by the revenue practice leadership team.
• Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from various sources.
• Presents, researches, and follows-up on topics reviewed at department and system-wide initiative levels.
• Monitors for positive or negative trends in coding, charge capture and/or editing processes to improve teams performance.
• Researches and stays current on CMS, federal and state regulations, payor guidelines, ensuring compliance and alignment with charge, coding and charge edits.
• Audits and evaluates system automation by comparing the charge/claim data to the clinical record.
• Leverages other system functionalities to expediate the claim processing for compliant and optimized hospital accounts.
• Evaluates, provides education and guidance to revenue cycle, revenue practice teams and clinical operations on report development, charge capture accountability and revenue monitoring.
• Mentors and supports the training of other revenue integrity analysts.

Benefits

• Generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Up-front tuition coverage paid directly to the academic institution for undergraduate studies, high school diplomas, and professional skills and certificates through the PEAK program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level